|
| |
|
123 Penns Grant Dr Morrisville PA 19067-4918 | |
| (609) 558-6946 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 123 Penns Grant Dr, Morrisville, Pennsylvania |
| Authorized Official Name and Position | Liana Urban (VICE PRESIDENT) |
| Authorized Official Contact | 2155863102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
950 West Trenton Avenue #846 Morrisville PA 19067 Ph: () - | 123 Penns Grant Dr Morrisville PA 19067-4918 Ph: (609) 558-6946 |
| NPI Number | 1699351098 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 0547707721 |
|---|---|
| Medicare Enrollment ID | O20240806001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699351098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jessica D Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457827024 PECOS PAC ID: 8022355510 Enrollment ID: I20190122001998 |
| Provider Name | Chelsea Fallier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689175176 PECOS PAC ID: 3577960764 Enrollment ID: I20211001000096 |
| Provider Name | Tulsi Majchrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669110854 PECOS PAC ID: 4880076801 Enrollment ID: I20220808000016 |
| Provider Name | Michael Thomas Urban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386044964 PECOS PAC ID: 5092252270 Enrollment ID: I20240821005239 |
| Provider Name | Leigh Noell Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104485671 PECOS PAC ID: 8123567120 Enrollment ID: I20240822000038 |
| Provider Name | Malika Abdurakhmanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396323325 PECOS PAC ID: 2365849478 Enrollment ID: I20240822000468 |
| Provider Name | Vincent Andrew Grim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053977751 PECOS PAC ID: 9133668080 Enrollment ID: I20240823001355 |
| Provider Name | Amber A Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578155511 PECOS PAC ID: 5294274510 Enrollment ID: I20240829003147 |
| Provider Name | Chelsea Matta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093355893 PECOS PAC ID: 3779022934 Enrollment ID: I20240901000097 |
Garden State Neuro Diagnostic Labs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Woolston Dr, Morrisville, PA 19067 Phone: 215-736-8930 Fax: 215-736-3093 | |
Creative Living Alliance Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Ohio Ave, Morrisville, PA 19067 Phone: 267-597-7679 | |
Embrace Willingness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 W Philadelphia Ave, Morrisville, PA 19067 Phone: 609-575-2055 | |
Building Bridges Pa, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Woolston Dr, Suite #2c, Morrisville, PA 19067 Phone: 215-740-4201 | |
Family Service Association Of Bucks County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 West Palmer Street, Morrisville, PA 19067 Phone: 215-736-2681 Fax: 215-736-0695 | |
Emotionally Rewired, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 E Bridge St, Morrisville, PA 19067 Phone: 267-797-5029 |